DR. CARL M JOHNSON (NPI# 1073519070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073519070 |
Entity Type | Individual |
Full Name | DR. CARL M JOHNSON |
Credential | M.D. |
Practice Address |
2601 Kentucky Ave Ste 300 Paducah KY 42003-3826 |
Mailing Address |
2601 Kentucky Ave Ste 306 Paducah KY 42003-3817 |
Practice Telephone | 2704435564 |
Practice Fax Number | 2704435549 |
Mailing Telephone | 2704157653 |
Mailing Fax Number | 2705758359 |
Enumeration Date | 2005-06-23 |
Last Update Date | 2017-03-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 24921 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64249212 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720362288 | Carl Johnson | Contractor | 101 S 12th St, Mcalester, OK 74501-5656 | 2011-10-03 |
1356572440 | Carl Edward Johnson | Social Worker | 1537 W Adams St, #2r, Chicago, IL 60607-2451 | 2009-08-06 |
1083878490 | Carl R Johnson | Pharmacist | 524 Dean Hall Ct, Mt Pleasant, SC 29464-6204 | 2008-07-15 |
1205044369 | Carl Joseph Johnson | Dentist | 7241 Owensmouth Ave, Canoga Park, CA 91303-1530 | 2007-05-20 |
1700908670 | Carl Allen Johnson | Dermatology | 2610 Blossom St, Columbia, SC 29205-2308 | 2007-04-04 |
1427183847 | Carl Frederick Johnson | Marriage & Family Therapist | 2200 Century Parkway, Suite 200, Atlanta, GA 30345-3103 | 2007-02-23 |
1912063652 | Carl Austin Johnson | Physical Therapist | 285 W Francis, Blackfoot Physical Therapy, Blackfoot, ID 83221 | 2006-12-28 |
1437264033 | Carl L Johnson | Internal Medicine | 5320 W 12th St, Little Rock, AR 72204 | 2006-08-21 |
1144237215 | Carl E Johnson | Internal Medicine | 87 Herrick St, Beverly, MA 01915-2773 | 2006-08-02 |
1487679684 | Carl E Johnson | Pathology | 24 Las Praderas Dr, San Luis Obispo, CA 93401-7410 | 2006-07-12 |
Street Address |
2601 KENTUCKY AVE STE 300 |
City | PADUCAH |
State | KY |
Zip Code | 42003-3826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063418473 | Western Kentucky Heart & Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2601 Kentucky Ave, Ste 300, Paducah, KY 42003-3826 | 2005-06-22 |
1023520434 | Baptist Healthcare System Inc | Pharmacy | 2601 Kentucky Ave, Medical Park 1, Suite 101, Paducah, KY 42003-3817 | 2017-10-26 |
1053857912 | Ashley C Jenks | Nurse Practitioner | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2017-01-16 |
1922550300 | Shakira N Bell | Nurse Practitioner | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2016-11-01 |
1447709159 | Kelly Nichols | Nurse Practitioner | 2601 Kentucky Ave, Suite 300, Paducah, KY 42003-3817 | 2016-09-23 |
1417403049 | Erin Walker Toombs | Nurse Practitioner | 2601 Kentucky Ave, Suite 103, Paducah, KY 42003-3817 | 2016-09-01 |
1255701173 | Kristena R Lea | Nurse Practitioner | 2601 Kentucky Ave, Suite 103, Paducah, KY 42003-3817 | 2015-10-05 |
1891164349 | Blair Brockman | Nurse Practitioner | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2015-09-15 |
1346624962 | Jasmaine Theobald | Nurse Practitioner | 2601 Kentucky Ave, Suite 103, Paducah, KY 42003-3817 | 2015-07-14 |
1407246853 | Kasey Murphy | Nurse Practitioner | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2015-01-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
Find all providers in zip 42003 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063418473 | Western Kentucky Heart & Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2601 Kentucky Ave, Ste 300, Paducah, KY 42003-3826 | 2005-06-22 |
1073703054 | Western Baptist Medical Ventures, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2007-07-26 |
1285785709 | Robert B Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1532 Lone Oak Rd, Suite 445, Paducah, KY 42003-7913 | 2007-01-12 |
1316037005 | Nicholas Michael Lopez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2601 Kentucky Ave, Suite 300, Paducah, KY 42003-3817 | 2006-10-13 |
1144226598 | James P O'rourke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1532 Lone Oak Rd, Suite 445, Paducah, KY 42003-7913 | 2005-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982066197 | Rebecca Lee Phillip | Thoracic Surgery (Cardiothoracic Vascular Surgery) | University of Kentucky, Dept. of Cardiothoracic Surgery, 740 South Limestone, Suite A301, Lexington, KY 40536 | 2016-03-26 |
1982020418 | Abdulla Attum Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 332 W Broadway Ste 404, Louisville, KY 40202-2116 | 2014-03-07 |
1578988408 | Paul Anthony Spence | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5818 Orion Rd, Louisville, KY 40222-5976 | 2014-03-01 |
1013159540 | Jordan Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone Rm A301, Lexington, KY 40536-0001 | 2009-03-30 |
1255586855 | Thomas A. Donohue, Md, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 119 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2008-11-24 |
1194914911 | Zahi Hamdi Masri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5308 Indian Crest Rd, Louisville, KY 40207-1676 | 2007-10-17 |
1649313164 | Kentucky Cardiothoracic Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Hospital Way Ste 220, Somerset, KY 42503-1877 | 2007-02-14 |
1275670556 | Angela L Mahan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4003 Kresge Way Ste 224, Louisville, KY 40207 | 2007-01-30 |
1477609154 | Deborah Kozik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2007-01-26 |
1790888113 | Robert K Salley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1401 Harrodsburg Rd Ste B275, Lexington, KY 40504-1775 | 2006-09-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.